| NPI | 1861616674 |
|---|---|
| Other Name | INDIAN FAMILY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A MARTIN Executive Director Acting 406-268-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 24541) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 19935) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |